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Found 225 results
  1. News Article
    The state of social care in England has “never been so bad”, the country’s leading social services chief has said, with half a million people now waiting for help. Sarah McClinton, president of the Association of Directors of Adult Social Services (ADASS), told a conference of council care bosses in Manchester: “The shocking situation is that we have more people requesting help from councils, more older and disabled with complex needs, yet social care capacity has reduced and we have 50,000 fewer paid carers.” Over 400,000 people rely on care homes in England and more than 800,000 receive care at home. But care services are struggling with 160,000 staff vacancies, rising demand and already tight funding for social care that is being squeezed by soaring food and energy inflation. About a third of care providers report that inability to recruit staff has negatively affected their service and many have stopped admitting new residents as a result. Last month the Care Quality Commission warned of a “tsunami of unmet care” and said England’s health and social care system was “gridlocked”. Problems in social care make it harder to free up beds in hospitals, slowing down the delivery of elective care. “The scale of how many people are either not getting the care and support they need, or are getting the wrong kind of help, at the wrong time and in the wrong place is staggering,” said McClinton, who is also director for health and adult services in Greenwich. “It is also adding to the endless pressures we see with ambulances and hospitals, and adding to the pressures we see in our communities, more people requesting help with mental health and domestic abuse.” Read full story Source: The Guardian, 2 November 2022
  2. Content Article
    For many people, improving their health and wellbeing requires a holistic approach and support by professionals who can help them focus on what matters to them to live well. Social prescribing supports people to understand their needs and connects them to local community (non-clinical) often voluntary services which can provide the help they need.
  3. Content Article
    We need to make community-powered prevention a valued part of the system, writes Prof Donna Hall in this HSJ article. Mark Spencer is a GP who has completely reinvented his role. Tired of sitting in his surgery day after day prescribing medicines to the same people with the same conditions, he decided to get out into the communityand talk to them about what needed to change. The result is Healthier Fleetwood - a remarkable flowering of multiple community-led groups. The groups cover a wide range of issues from men’s mental health to obesity. But they all share one thing in common - they use the power of human connection and support to prevent illness in the first place rather than simply manage it. This is why there are groups dedicated simply to singing or crafts as a way of keeping people mentally and physically healthy, as well as those more directly focused on “conditions”. The results speak for themselves - reduced obesity, falling admissions to accident and emergency (pre-covid), and a doubling of GP numbers made possible by more sustainable finances. And, most importantly, dozens of stories of people’s lives transformed, even saved.
  4. Content Article
    Plans to establish integrated care systems (ICSs) as statutory bodies in the health and care bill foreshadow further changes to the organisation of the NHS. Unlike previous reorganisations, the changes expected to occur in 2022 have developed from within the NHS rather than being imposed by the government. Not only this, but leaders in the NHS have also played a major part in shaping the nature of these changes in partnership with the centre.  This paper from the NHS Confederation focuses on the changes needed to create the conditions in which ICSs can improve outcomes for patients and the public and outlines a series of simple rules to guide those leading the reform programme. The ideas put forward are intended to provide a basis for debate with healthcare leaders and others in England about next steps. The paper starts from the premise that a key role of leaders is to harness the intrinsic motivation of health and care staff and public health teams to perform to the best of their abilities. The distinctive contribution of ICSs is to work with partners in making use of all available assets and leading improvements in patient care and outcomes that require actions across the organisations and services that make up the health and care system. Staff must be fully engaged in this work as it is through their actions that patients and the public will experience improvements
  5. Content Article
    Thousands of individuals are released from immigration detention into the community every year. Between 1 October 2020 and 30 September 2021, 21,362 people were detained, and 17,283 were released into the community, having been granted bail or leave to enter/remain. This means that 81% of those detained were released back into the community. 2,239 were considered to be ‘Adults at Risk’ whilst in detention by the Home Office. In this report, Medical Justice sheds light on the many issues its clients face in accessing healthcare upon release into the community. By highlighting these issues, Medical Justice seeks significant improvements in the Home Office’s continuity of care of all individuals upon release and provides specific recommendations to the Home Office.
  6. Content Article
    The COVID-19 pandemic placed unprecedented pressure on councils and care providers. A new report from the Local Government and Social Care Ombudsman analyses just how those organisations coped.
  7. Content Article
    The impermanent nature of a waiver flexibility and intensified staffing shortages leave health systems that have not yet moved forward with "hospital-at-home" programs in a policy-driven, wait-and-see limbo.  The centricity of the home during pandemic life brought renewed attention to the "hospital-at- home" model, but the model dates to the mid-1990s, when it was developed by Bruce Leff, MD, a geriatrician and health services researcher at Johns Hopkins University in Baltimore. His expertise has been even more widely sought since March 2020, as hospitals looked to move care outside of their walls to meet the demands of COVID-19's earliest surges.
  8. Content Article
    A report looking at how the government can lock in the lessons of the COVID-19 pandemic to build a more robust, sustainable and joined-up system of social care.
  9. Content Article
    As Clare Gerada finished the final house calls of her long career in general practice, it struck her how detached she was from her patients now – and that it was not always like this. Where did we go wrong, and what can we do to fix it? she asks in this article in the Guardian.
  10. Content Article
    This white paper sets out the UK Government's 10-year vision for adult social care, and provides information on funded proposals that they will implement over the next three years. It highlights the factors that will cause an increase in demand for social care over the next decade and identifies stakeholders who the proposed changes to social care will affect. A key proposal in this white paper is the cap on how much individuals in England will contribute to their care costs from October 2023, which aims to make care costs predictable and limited.
  11. Content Article
    This report from the Queen's Nursing Institute’s International Community Nursing Observatory (ICNO) describes the role of district nursing in ensuring continuity of care and preventing unnecessary hospital admissions. It highlights the advanced skills in assessment, diagnosis and patient management of District Nurse Team Leaders - skills that could be used to provide safe and effective care for people at home.
  12. Content Article
    A Community of Practice for nurses in the community to improve care and increase understanding about the physical, mental and emotional effects of Long Covid.
  13. Content Article
    This report by the British Red Cross highlights the impact of deprivation and inequality on high intensity use of accident and emergency services (A&E), and the additional cost and strain this puts on these services. It shows that people from the most deprived areas of the UK and people with mental health issues are more likely to be in poor health and are most likely to attend A&E frequently. The report calls for better support for people who frequently attend A&E because they feel they have 'nowhere else to turn'.
  14. Content Article
    This manifesto was created by the Community Rehabilitation Alliance, a collective of 50 charities, trade unions and professional bodies coming together to call on all political parties to ensure there is equal access to high quality community rehabilitation services for all patients.
  15. Content Article
    Buurtzorg is a pioneering healthcare organisation established in 2006 with a nurse-led model of holistic care that revolutionised community care in the Netherlands. Self-management, continuity, building trusting relationships, and building networks in the neighbourhood are all important and logical principles for the teams.
  16. Content Article
    This report by the Royal College of Occupational Therapists (RCOT) sets out practical ways in which decision-makers and system designers can use the skills offered by occupational therapy to ensure all patients get access to the support they need. Health equity is one of RCOT’s priorities for 2022 and this report looks at the role of occupational therapists in widening access to care in the following areas: Primary care Housing Children, young people, and families Community rehabilitation Community mental health Criminal justice system
  17. Content Article
    The Homecare Association calls on central government to invest properly in homecare, so we can address unmet need, reduce inequalities, extend healthy life expectancy of older and disabled people and reduce pressure on the NHS.  To gain an up-to-date view of the additional funding required for homecare to ensure an adequate supply of good quality, sustainable services, the Homecare Association submitted enquiries under Freedom of Information legislation to 340 public organisations which purchase homecare across the United Kingdom. These consisted of local authorities, Health and Social Care (HSC) Trusts in Northern Ireland and NHS bodies. Each public organisation was asked to provide several pieces of information, including the prices (lowest, highest, average) it pays to independent and voluntary sector homecare providers for the provision of regulated homecare services, delivered to people aged 65 years or above in their own home, during a sample week in April 2021.  The Homecare Deficit 2021 report presents the analysis of the data received, and thus exposes the continued deficit in funding for homecare services in the United Kingdom.   
  18. Content Article
    In this blog, Lotty Tizzard, Patient Safety Learning's Content and Engagement Manager, looks at some of the patient and staff safety issues surrounding insulin delivery. These issues have been identified by a new working group set up by the Safer Healthcare and Biosafety Network (SHBN), and she also highlights potential solutions the group will explore. The SHBN is an independent forum focused on improving healthcare worker and patient safety. It has established a working group on improving injection technique and delivering dual safety in diabetes care. The working group consists of clinicians, policy-makers, charities, manufacturers and patients who are concerned about high numbers of preventable safety incidents related to diabetes treatment.
  19. Content Article
    Achieving safe district and community nurse caseloads, staffing levels and skill mix in order to deliver the increasing demand for care close to or in the home are a key challenge for primary and community care organisations in the UK. However there is a national crisis in relation to robust workforce evidence due to a lack of tools available to capture the complexity of care being delivered in different geographical locations to meet rural and urban patient population need. This paper presents a case study to illustrate the potential benefits of implementing Cassandra, a community workload analysis tool in one community provider organisation in the south of England. The Cassandra tool provides potential to: i) model the multidimensional complexity of care in different contexts and populations; ii) develop a potential blueprint for robust monitoring of decisions related to safe caseloads, staffing levels and skill mix; iii) when triangulated with other metrics, provides additional value to organisations as it enables an accurate picture to be created to monitor safe caseload, staffing levels, skill mix and competence and impacts on quality of patient care and commissioning of services in different geographies. As a place based demand tool this offers real opportunity to improve the evidence base of workforce planning and development driven by the needs of community populations.
  20. Content Article
    This leaflet by the Royal College of Midwives provides information for patients on how to prepare for a home visit from a midwife. It covers steps that patients should take to reduce the risk of spreading Covid-19 including handwashing, wearing a face mask and reducing the number of people in the room.
  21. Content Article
    Jane Bruce was discharged from hospital on 24 March 2020 and was receiving wound care from the community nursing team twice a week, after surgery on a fracture following a fall in November 2019. She initially appeared to be recovering until 29 April when her pain increased significantly, rendering her bed-bound, with the exudate from the wound significantly increased. She continued to deteriorate and presented to Leicester Royal Infirmary on 1 May with features consistent with sepsis, and subsequently died the following day. In her report, the Coroner highlights concerns about an absence of continuity in Ms Bruce’s wound care. She notes that she had been seen by several different nurses but due to lack of photographic evidence/accessible electronic records they did not have the relevant information to recognise the change in her condition.
  22. Content Article
    The District Nursing service typically serves a defined geographical population or neighbourhood. The service is provided in every village, town and city in the UK. It is a nurse-led service, with a team leader who normally holds an NMC recordable specialist practitioner qualification. These new workforce standards for District Nursing were developed by the Queen's Nursing Institute's International Community Nursing Observatory (ICNO) over the past eighteen months, led by its Director, Professor Alison Leary. They safety standards for the District Nursing workforce in the UK, setting out areas of risk and giving examples of major ‘red flags’ that require escalation.
  23. Content Article
    NHS community services are an essential part of national ambitions to support people to manage their conditions, prevent ill health and deliver care closer to home. Community nurses are central to the care delivered for many people, across a broad range of conditions and needs But how do we quantify the difference that a community nurse makes? How do we demonstrate the economic value of community nursing? These were the questions addressed at a roundtable hosted by the HFMA in 2021, with a mixed group of directors of nursing, directors of finance and subject matter experts. This briefing describes the key points raised at the roundtable and an overview of the challenges identified. It also includes other sources of information identified by the HFMA where they add to the understanding of the topic. The briefing does not present a solution to understanding the economic value of community nursing, rather it is a starting point to scope the challenge ahead.
  24. Content Article
    People and communities using heath and care services are best placed to understand what they need, what is working and what could be improved. The health and care system can listen and learn from the people and communities it serves in a variety of different ways. From local Healthwatch teams to large scale national patient surveys, to citizen assemblies run by local government and service user stories, there is a wealth of insight and data already being collected across both the NHS and local government. This explainer from the King's Fund is intended as an introduction for those working in the health and care system who want to understand more about this area of work. It looks at some of the terminology used in this area and outlines the different ways and methods that the NHS and local government can hear from people and communities at both a national and local level. It asks what the introduction of integrated care systems (ICSs) means for this work and how partners in these new systems can listen together to people and communities.
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